Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
Your initials after reading
In connection with my future involvement as a staff member or a volunteer working with youth or children, I, the above stated, understand that In The Gap and/or its agents, may conduct a background check and obtain all records whether they are of a public, private, or confidential nature to determine my ability to minister in this role. It may include information concerning my character, work habits, performance, and any court records that may have a bearing on my job responsibilities.
I acknowledge that a telephonic facsimile (fax) or photographic copy shall be as valid as the original.
I hereby authorize, without reservation, any law enforcement agency, institution, information service bureau, schooling agency or its agent, to furnish the information described above. In addition, I release and discharge In The Gap and its agents and associates to the full extent permitted by law from any claims, damages, losses, liabilities, costs, expenses, or any other chard or complaint filed with any agency arising from retrieving and reporting this information.
I understand that if any of those records contain information that is used to deny my services at In The Gap, I will be notified of my rights and where I can obtain a copy of the information. I understand that a complete listing of my rights under the Fair Credit Reporting Act can be obtained at www.ftc.gov/credit. Also, by typing your name above, you are acknowledging that you are giving In The Gap the right to use your pictures, voice and testimony for promotional materials.
By typing your name here, you are signifying that you have read the above stated Child Protection Policies, and the Statement of Faith found below, and that you understand and are willing to wholeheartedly abide by their contents. Also by typing your name above, you are indicating that you recognize this is a legally binding agreement, that all answers you have given are true and complete to the best of your knowledge, and that you are giving In The Gap the right to use your pictures, voice and testimony for promotional materials. This is your legal signature.